Moh505SectionAB
type: Questionnaire
node role: treeRoot
id:
  v: Moh505SectionAB
meta:
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
    l: Questionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire Moh505SectionAB Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance Questionnaire http://example.org/Questionnaire/Moh505SectionAB#0.1.0 #xD; 306799299 Diseases, Conditions or Events Information 0..1 group #xD; 745196148424 null 0..* choice Options: 1 option #xD; under5-cases < 5 years - Cases 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; under5-deaths < 5 years - Deaths 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; over5-cases ≥ 5 years - Cases 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; acute-jaundice null 0..* choice Options: 1 option #xD; acute-jaundice-under5-cases < 5 years - Cases 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-jaundice-under5-deaths < 5 years - Deaths 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-jaundice-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-jaundice-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-malnutrition null 0..* choice Options: 1 option #xD; acute-malnutrition-under5-cases < 5 years - Cases 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; acute-malnutrition-under5-deaths < 5 years - Deaths 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; acute-malnutrition-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; acute-malnutrition-over5-deaths ≥ 5 years - Deaths 0..1 integ…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: countyName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='a4-county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedSubCountyName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='a3-sub-county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedWardName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='819943434').answer.value.reference
url:
  v: http://example.org/Questionnaire/Moh505SectionAB
  l: Moh505SectionAB
version:
  v: 0.1.0
title:
  v: MOH 505 - Health Facility Weekly Reporting Form
status:
  v: draft
date:
  v: 2026-05-04T06:19:40+00:00
publisher:
  v: Kenya National Public Health Institute
contact:
  name:
    v: Kenya National Public Health Institute
  telecom:
    system:
      v: url
    value:
      v: https://www.nphi.go.ke/
contact:
  name:
    v: Kenya National Public Health Institute
  telecom:
    system:
      v: url
    value:
      v: https://www.nphi.go.ke/
    use:
      v: work
description:
  v: MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: KE
    display:
      v: Kenya
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 306799299
  text:
    v: Diseases, Conditions or Events Information
  type:
    v: group
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    link id:
      v: 745196148424
    type:
      v: choice
    repeats:
      v: true
    answer option:
      value: Coding
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/maxValue
        l: maxValue
      value: Integer
        v: 99
    link id:
      v: under5-cases
    text:
      v: < 5 years - Cases
    type:
      v: integer
    enable when:
      question:
        v: 745196148424
      operator:
        v: =
      answer: Coding
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/maxValue
        l: maxValue
      value: Integer
        v: 99
    link id:
      v: under5-deaths
    text:
      v: < 5 years - Deaths
    type:
      v: integer
    enable when:
      question:
        v: 745196148424
      operator:
        v: =
      answer: Coding
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/maxValue
        l: maxValue
      value: Integer
        v: 99
    link id:
      v: over5-cases
    text:
      v: ≥ 5 years - Cases
    type:
      v: integer
    enable when:
      question:
        v: 745196148424
      operator:
        v: =
      answer: Coding
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/maxValue
        l: maxValue
      value: Integer
        v: 99
    link id:
      v: over5-deaths
    text:
      v: ≥ 5 years - Deaths
    type:
      v: integer
    enable when:
      question:
        v: 745196148424
      operator:
        v: =
      answer: Coding
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    link id:
      v: acute-jaundice
    type:
      v: choice
    repeats:
      v: true

v: page

v: Page

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: check-box
display:
  v: Check-box

v: AEFI

v: AEFI

v: AEFI

v: AEFI

v: AEFI

v: AEFI

v: AEFI

v: AEFI

v: AEFI

v: AEFI

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: check-box
display:
  v: Check-box

value: Coding
  code:
    v: Acute Jaundice
  display:
    v: Acute Jaundice

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-jaundice-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: acute-jaundice
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Jaundice
    display:
      v: Acute Jaundice

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-jaundice-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: acute-jaundice
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Jaundice
    display:
      v: Acute Jaundice

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-jaundice-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: acute-jaundice
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Jaundice
    display:
      v: Acute Jaundice

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-jaundice-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: acute-jaundice
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Jaundice
    display:
      v: Acute Jaundice

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: acute-malnutrition
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: Acute Malnutrition
    display:
      v: Acute Malnutrition

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-malnutrition-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: acute-malnutrition
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Malnutrition
    display:
      v: Acute Malnutrition

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-malnutrition-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: acute-malnutrition
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Malnutrition
    display:
      v: Acute Malnutrition

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-malnutrition-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: acute-malnutrition
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Malnutrition
    display:
      v: Acute Malnutrition

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: acute-malnutrition-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: acute-malnutrition
  operator:
    v: =
  answer: Coding
    code:
      v: Acute Malnutrition
    display:
      v: Acute Malnutrition

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: afp-poliomyelitis
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: AFP (Poliomyelitis)
    display:
      v: AFP (Poliomyelitis)

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: afp-poliomyelitis-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: afp-poliomyelitis
  operator:
    v: =
  answer: Coding
    code:
      v: AFP (Poliomyelitis)
    display:
      v: AFP (Poliomyelitis)

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: afp-poliomyelitis-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: afp-poliomyelitis
  operator:
    v: =
  answer: Coding
    code:
      v: AFP (Poliomyelitis)
    display:
      v: AFP (Poliomyelitis)

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: afp-poliomyelitis-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: afp-poliomyelitis
  operator:
    v: =
  answer: Coding
    code:
      v: AFP (Poliomyelitis)
    display:
      v: AFP (Poliomyelitis)

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: afp-poliomyelitis-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: afp-poliomyelitis
  operator:
    v: =
  answer: Coding
    code:
      v: AFP (Poliomyelitis)
    display:
      v: AFP (Poliomyelitis)

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: anthrax
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: Anthrax
    display:
      v: Anthrax

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: anthrax-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: anthrax
  operator:
    v: =
  answer: Coding
    code:
      v: Anthrax
    display:
      v: Anthrax

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: anthrax-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: anthrax
  operator:
    v: =
  answer: Coding
    code:
      v: Anthrax
    display:
      v: Anthrax

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: anthrax-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: anthrax
  operator:
    v: =
  answer: Coding
    code:
      v: Anthrax
    display:
      v: Anthrax

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: anthrax-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: anthrax
  operator:
    v: =
  answer: Coding
    code:
      v: Anthrax
    display:
      v: Anthrax

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: cholera
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: Cholera
    display:
      v: Cholera

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: cholera-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: cholera
  operator:
    v: =
  answer: Coding
    code:
      v: Cholera
    display:
      v: Cholera

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: cholera-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: cholera
  operator:
    v: =
  answer: Coding
    code:
      v: Cholera
    display:
      v: Cholera

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: cholera-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: cholera
  operator:
    v: =
  answer: Coding
    code:
      v: Cholera
    display:
      v: Cholera

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: cholera-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: cholera
  operator:
    v: =
  answer: Coding
    code:
      v: Cholera
    display:
      v: Cholera

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: chikungunya
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: Chikungunya
    display:
      v: Chikungunya

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: chikungunya-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: chikungunya
  operator:
    v: =
  answer: Coding
    code:
      v: Chikungunya
    display:
      v: Chikungunya

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: chikungunya-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: chikungunya
  operator:
    v: =
  answer: Coding
    code:
      v: Chikungunya
    display:
      v: Chikungunya

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: chikungunya-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: chikungunya
  operator:
    v: =
  answer: Coding
    code:
      v: Chikungunya
    display:
      v: Chikungunya

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: chikungunya-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: chikungunya
  operator:
    v: =
  answer: Coding
    code:
      v: Chikungunya
    display:
      v: Chikungunya

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: covid-19
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: COVID-19
    display:
      v: COVID-19

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: covid-19-under5-cases
text:
  v: < 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: covid-19
  operator:
    v: =
  answer: Coding
    code:
      v: COVID-19
    display:
      v: COVID-19

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: covid-19-under5-deaths
text:
  v: < 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: covid-19
  operator:
    v: =
  answer: Coding
    code:
      v: COVID-19
    display:
      v: COVID-19

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: covid-19-over5-cases
text:
  v: ≥ 5 years - Cases
type:
  v: integer
enable when:
  question:
    v: covid-19
  operator:
    v: =
  answer: Coding
    code:
      v: COVID-19
    display:
      v: COVID-19

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 99
link id:
  v: covid-19-over5-deaths
text:
  v: ≥ 5 years - Deaths
type:
  v: integer
enable when:
  question:
    v: covid-19
  operator:
    v: =
  answer: Coding
    code:
      v: COVID-19
    display:
      v: COVID-19

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: check-box
      display:
        v: Check-box
link id:
  v: dengue
type:
  v: choice
repeats:
  v: true
answer option:
  value: Coding
    code:
      v: Dengue
    display:
      v: Dengue

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
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